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185 Devonshire St Ste 410 Boston MA 02110-1413 | |
| (617) 350-7474 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 185 Devonshire St Ste 410, Boston, Massachusetts |
| Authorized Official Name and Position | Dean Levy (MBR) |
| Authorized Official Contact | 6176941061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
185 Devonshire St Ste 410 Boston MA 02110-1413 Ph: () - | 185 Devonshire St Ste 410 Boston MA 02110-1413 Ph: (617) 350-7474 |
| NPI Number | 1831619469 |
|---|---|
| Provider Enumeration Date | 06/24/2017 |
| Last Update Date | 06/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831619469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Massachusetts) | Primary |
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